Senior Quality Analyst, Remote

Description

Providence is one of the nation's leading non-profit healthcare systems with 119,000+ caregivers/employees serving more than 5 million unique patients across 51 hospitals and 800+ clinics. Our locations range from metropolitan centers to rural settings across seven states: Alaska, California, Montana, New Mexico, Oregon, Texas, and Washington. As a mission-based, not-for-profit healthcare provider, our commitment to providing compassionate care to all lives on through our five core values: Compassion, Dignity, Justice, Excellence, and Integrity.

Providence caregivers are not simply valued – they’re invaluable. Join our team at Integrity Compliance Audit Services and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best people, we must empower them.

Providence St Joseph Health operates a self-administered claims program for General and Healthcare Professional Liability, Directors and Officers, Employment Practices, Fiduciary, Property, Cyber, Managed Care, and Auto Claims. The Senior Quality Analyst assists the Claims leaders in managing a quality assurance program to ensure compliance with laws and regulations pertaining to self-insured health care organizations. The Senior Quality Analyst is also responsible for maintaining a claims quality assurance program, management of projects and continual learning, data integrity, settlement and excess reporting, payor contracting and other regulatory reporting requirements governing liability claims handling. The candidate selected for this position will be expected to effectively manage multiple priorities at a time, work autonomously in a fast-paced claims environment, and respond positively to change.

The Senior Quality Analyst performs all duties in a manner that promotes Providence's Mission, values, and philosophy. In all aspects, they serve as a role model for the values and Mission of the organization.

Required Qualifications

• Bachelor's Degree in Business Administration, Public Health Administration, Organizational Leadership, Finance, or a related discipline -OR- a combination of equivalent education and work experience
  
  

Preferred Qualifications

• Coursework/Training: Liability claims training within the insurance industry
• 5 or more years of experience handling healthcare professional liability and/or other types of civil tort claims within the insurance industry or similarly structured self-insured organization
• 5 or more years of experience reporting third party liability settlements to Centers for Medicare and Medicaid Services (CMS), and federal and state licensing and/or regulatory agencies, including the National Practitioner’s Database (NPDB)
• Experience reviewing claims files for quality assurance purposes
• Experience working with claims data analytics
• Experience in project management
• Experience creating and facilitating claims management training
• Experience developing policies and procedures
  
  

Salary Range by Location:

• AK: Anchorage: Min: $45.14, Max: $70.07
• AK: Kodiak, Seward, Valdez: Min: $47.05, Max: $73.04
• California: Humboldt: Min: $47.05, Max: $73.04
• California: All Northern California - Except Humboldt: Min: $52.79, Max: $81.94
• California: Southern California: Min: $47.05, Max: $73.04
• Montana: Except Great Falls: Min: $36.34, Max: $56.41
• Montana: Great Falls: Min: $34.43, Max: $53.44
• Oregon: Non-Portland Service Area: Min: $42.08, Max: $65.32
• Oregon: Portland Service Area: Min: $45.14, Max: $70.07
• Texas: Min: $34.43, Max: $53.44
• Washington: Western - Except Tukwila: Min: $47.05, Max: $73.04
• Washington: Southwest - Olympia, Centralia: Min: $45.14, Max: $70.07
• Washington: Southwest – Clark County: Min: $45.14, Max: $70.07
• Washington: Eastern: Min: $40.16, Max: $62.35
• Washington: Southeastern: Min: $42.08, Max: $65.32
  
  

Why Join Providence?

• Our best-in-class benefits are uniquely designed to support you and your family in staying well, growing professionally, and achieving financial security. We take care of you, so you can focus on delivering our Mission of caring for everyone, especially the most vulnerable in our communities.
  
  

About Providence

At Providence, our strength lies in Our Promise of “Know me, care for me, ease my way.” Working at our family of organizations means that regardless of your role, we’ll walk alongside you in your career, supporting you so you can support others. We provide best-in-class benefits and we foster an inclusive workplace where diversity is valued, and everyone is essential, heard and respected. Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. As a comprehensive health care organization, we are serving more people, advancing best practices and continuing our more than 100-year tradition of serving the poor and vulnerable.

The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.

Providence offers a comprehensive benefits package including a retirement 401(k) Savings Plan with employer matching, health care benefits (medical, dental, vision), life insurance, disability insurance, time off benefits (paid parental leave, vacations, holidays, health issues), voluntary benefits, well-being resources and much more. Learn more at providence.jobs/benefits.

About The Team

Providence Shared Services is a service line within Providence that provides a variety of functional and system support services for our family of organizations across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. We are focused on supporting our Mission by delivering a robust foundation of services and sharing of specialized expertise.

Providence is proud to be an Equal Opportunity Employer. We are committed to the principle that every workforce member has the right to work in surroundings that are free from all forms of unlawful discrimination and harassment on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law. We believe diversity makes us stronger, so we are dedicated to shaping an inclusive workforce, learning from each other, and creating equal opportunities for advancement.

Requsition ID: 357280

Company: Providence Jobs

Job Category: Clinical Quality

Job Function: Quality/Process Improvements

Job Schedule: Full time

Job Shift: Day

Career Track: Business Professional

Department: 4008 SS RIS

Address: WA Renton 1801 Lind Ave SW

Work Location: Providence Valley Office Park-Renton

Workplace Type: Remote

Pay Range: $47.05 - $73.04

The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.